Provider Demographics
NPI:1023279270
Name:POSEY, AMBER PENA (ARNP)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:PENA
Last Name:POSEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:LARINNE
Other - Last Name:PENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2470 W RAY RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3557
Mailing Address - Country:US
Mailing Address - Phone:480-245-7385
Mailing Address - Fax:480-207-6053
Practice Address - Street 1:2470 W RAY RD STE 4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3557
Practice Address - Country:US
Practice Address - Phone:480-245-7385
Practice Address - Fax:480-207-6053
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9251112363LF0000X, 363LP0808X
AZAP7518363LF0000X
AZAP7517363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP 7517OtherSTATE LICENSE
FL002997900Medicaid
FLARNP9251112OtherSTATE LICENSE
Y05YTOtherBC/BS OF FLORIDA
AZAP 7518OtherSTATE LICENSE